Individual provider Active NPI

Rosalee Roche Carroll, FNP

  • Family Nurse Practitioner
  • Highmore, SD
National Provider Identifier
1063901122
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001369 Issued in SD
Practice address
200 S Commercial Ave
Highmore, SD 57345
Phone
(605) 852-2238
NPI assigned
May 4, 2018
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001369 SD Primary

Addresses

Primary practice location

200 S Commercial Ave
Highmore, SD 57345

Mailing address

202 Island Dr Ste 1
Fort Pierre, SD 57532-7303
Phone (605) 223-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618001897 SD Practitioner - Nurse Practitioner 0749535649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

202 Island Dr
Suite 1
Fort Pierre, SD 57532-7303
Phone (605) 223-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care, Inc CurrentSince May 3, 2018 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Rural Health Care, Inc CurrentSince May 3, 2018 Accepting new patients

Locations

202 Island Dr
Ste 1
Fort Pierre, SD 57532
Phone (605) 223-2200

608 E Garfield Ave
Gettysburg, SD 57442
Phone (605) 765-2273

200 Commercial Ave SE
Highmore, SD 57345
Phone (605) 852-2238

Interoperability endpoints

  • Direct secure messaging: rosalee.carroll@avera.sdhealthlink.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1063901122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ISLAND DR STE 1",
            "city": "FORT PIERRE",
            "state": "SD",
            "postal_code": "575327303",
            "telephone_number": "605-223-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S COMMERCIAL AVE",
            "city": "HIGHMORE",
            "state": "SD",
            "postal_code": "57345",
            "telephone_number": "605-852-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ROSALEE",
        "middle_name": "ROCHE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highmore, SD

Sources for this page

Verify at the official NPI Registry.